NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
After her examination by the physician, the antepartal client tells the nurse that the doctor said she had positive Chadwick's and Goodell's signs. She asks the nurse what this means. What is the best response for the nurse to make?
Correct Answer: A
Rationale: Chadwick's sign is bluish discoloration of the vagina/cervix, and Goodell's sign is cervical softening, both confirming pregnancy.
Question 2 of 5
The nurse is caring for a child who has Duchenne's muscular dystrophy. What understanding is correct about the progress of the disease?
Correct Answer: C
Rationale: Duchenne's is X-linked, so brothers should be evaluated for carrier status or disease.
Question 3 of 5
The nurse at a summer camp for diabetics is assisting a 15-year-old girl with adjusting her daily insulin dosage. Which factor will have the greatest impact on insulin needs?
Correct Answer: B
Rationale: Increased physical activity significantly lowers blood glucose, requiring insulin dose adjustments.
Question 4 of 5
The mother of a 2-year-old child asks the nurse how to cope with the child's frequent temper tantrums when he does not get what he wants immediately. What information should the nurse include when responding?
Correct Answer: A
Rationale: Ignoring tantrums, while ensuring safety, prevents reinforcement of the behavior, helping the child learn self-regulation.
Question 5 of 5
During the early period following a right modified radical mastectomy, which nursing action would be appropriate to include in the client's plan of care?
Correct Answer: D
Rationale: Elevating the right arm reduces edema and promotes lymphatic drainage post-mastectomy.